Chain Reaction of Lower Extremity Isokinetic Strength in Athletes with Chronic Ankle Instability

Authors

  • Wimonsiri Nasoontorn Faculty of Sport Science, Kasetsart University
  • Amphorn Sriyabhaya Faculty of Sport Science, Kasetsart University
  • Phornphon Phimphaphorn Faculty of Sport Science, Kasetsart University

Keywords:

Chronic ankle instability, Reaction chain, Muscle strength

Abstract

This study aimed to investigate the correlation of the reaction chain that related to muscle strength of lower extremities in athletes with chronic ankle instability and to evaluate differences in muscle strength between groups. The participants consisted of 46 male soccer players, aged between 19 – 25 years, selected through purposive random sampling. They were categorized into two groups: athletes with chronic ankle instability (CAI) and athletes without chronic ankle instability (Healthy), with 23 participants in each group. All participants were tested the muscle strength of the lower extremities including the ankle, knee, and hip, using an isokinetic dynamometer for concentric/concentric contraction at a velocity of 60°/s. The data were analyzed using descriptive statistics, independent t-test, and Pearson product-moment correlation to examine the correlation. Additionally, Mann–Whitney U test was applied to non-normal distribution variables, with statistical significance defined at P values < .05.

The results revealed a significant difference in hip internal rotation muscle strength between athletes with chronic ankle instability and athletes without chronic ankle instability (p = .04). In terms of the correlation in athletes with chronic ankle instability, no significant correlation was observed between ankle muscle strength and other lower extremities muscle strength (p > .05). This study suggests that enhancing the internal rotation muscle strength of the hip in athletes with chronic ankles necessitates consistent attention in conjunction with soccer training or rehabilitation programs. In addition, further studies are needed to explore other factors interrelated within the chain reaction.

References

ณภัทร เครือทิวา และวิไล อโนมะศิริ. (2557). การทดสอบประสิทธิภาพการทำงานของข้อเท้าเพื่อใช้ในการวินิจฉัยภาวะความไม่มั่นคงของข้อเท้าเรื้อรัง. การประชุมวิชาการเสนอผลงานวิจัยระดับบัณฑิตศึกษา ครั้งที่ 15 (น. 1171-1176). ขอนแก่น: มหาวิทยาลัยขอนแก่น.

Arunakul, M., Arunakul, P., Suesiritumrong, C., Angthong, C., & Chernchujit, B. (2015). Validity and reliability of Thai version of the foot and ankle ability measure (FAAM) subjective form. J Med Assoc Thai, 98(6), 561-567.

Attenborough, A.S., Hiller, C.E., Smith, R.M., Stuelcken, M., Greene, A., & Sinclair, P.J. (2014). Chronic ankle instability in sporting populations. Sports Med, 44(11), 1545-1556.

Bettin, C.C., Richardson, D.R., & Donley, B.G. (2015). Ligamentous injuries of the ankle: Sprained ankle. In M. N. Doral & J. Karlsson (Eds.), Sports injuries: Prevention, Diagnosis, Treatment and rehabilitation (pp. 1753-1761). Berlin, Heidelberg: Springer Berlin Heidelberg.

Camacho, L.D., Roward, Z.T., Deng, Y., & Latt, L.D. (2019). Surgical management of lateral ankle instability in athletes. J Athl Train, 54(6), 639-649.

Cho, B.K., Park, J.K., Choi, S.M., Kang, S.W., & SooHoo, N.F. (2019). The peroneal strength deficits in patients with chronic ankle instability compared to ankle sprain copers and normal individuals. Foot Ankle Surg, 25(2), 231-236.

D’Hooghe, P., & Karlsson, J. (2015). Chronic ligament injuries of the ankle joint. In M. N. Doral & J. Karlsson (Eds.), Sports injuries: Prevention, Diagnosis, Treatment and rehabilitation (pp. 1711-1725). Berlin, Heidelberg: Springer Berlin Heidelberg.

Dejong, A.F., Koldenhoven, R.M., & Hertel, J. (2020). Proximal adaptations in chronic ankle instability: Systematic review and meta-analysis. Med Sci Sports Exerc, 52(7), 1563-1575.

Hall, E.A., Chomistek, A.K., Kingma, J.J., & Docherty, C.L. (2018). Balance- and strength-training protocols to improve chronic ankle instability deficits, Part I: Assessing clinical outcome measures. J Athl Train, 53(6), 568-577.

Hertel, J., & Corbett, R.O. (2019). An updated model of chronic ankle instability. J Athl Train, 54(6), 572-588.

Janicijevic, D., Knezevic, O. M., Garcia-Ramos, A., Cvetic, D., & Mirkov, D. M. (2020). Isokinetic testing: Sensitivity of the force-velocity relationship assessed through the two-point method to discriminate between muscle groups and participants' physical activity levels. Int J Environ Res Public Health, 17(22), 8570.

Khalaj, N., Vincenzino, B., & Smith, M.D. (2021). Hip and knee muscle torque and its relationship with dynamic balance in chronic ankle instability, copers and controls. J Sci Med Sport, 24(7), 647-652.

Kobayashi, T., Koshino, Y., & Miki, T. (2021). Abnormalities of foot and ankle alignment in individuals with chronic ankle instability: A systematic review. BMC Musculoskelet Disord, 22(1), 683.

Kosik, K.B., Johnson, N.F., Terada, M., Thomas, A.C., Mattacola, C.G., & Gribble, P.A. (2020). Decreased ankle and hip isometric peak torque in young and middle-aged adults with chronic ankle instability. Phys Ther Sport, 43, 127-133.

McCann, R.S., Crossett, I.D., Terada, M., Kosik, K.B., Bolding, B.A., & Gribble, P.A. (2017). Hip strength and star excursion balance test deficits of patients with chronic ankle instability. J Sci Med Sport, 20(11), 992-996.

Myers, T.W. (2020). Anatomy trains: Myofascial meridians for manual therapists and movement professionals. (4th ed.). China: Elsevier health sciences.

Page, P., Frank, C.C., & Lardner, R. (2010). Assessment and treatment of muscle imbalance: The Janda approach. USA: Human Kinetics.

Steinberg, N., Dar, G., Dunlop, M., & Gaida, J.E. (2017). The relationship of hip muscle performance to leg, ankle and foot injuries: A systematic review. Phys Sports Med, 45(1), 49-63.

Suchomel, T.J., Nimphius, S., & Stone, M.H. (2016). The importance of muscular strength in athletic performance. Sports Med, 46(10), 1419-1449.

Utsahachant, N., Sakulsriprasert, P., & Vongsirinavarat, M. (2012). Comparisons of foot posture and ankle and knee strength between athletes with and without chronic ankle instability. J Sports Sci Technol, 12(2), 107-116.

Ward, S., Pearce, A.J., Pietrosimone, B., Bennell, K., Clark, R., & Bryant, A.L. (2015). Neuromuscular deficits after peripheral joint injury: A neurophysiological hypothesis. Muscle Nerve, 51(3), 327-332.

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Published

2024-09-03

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Research Article